Prevention & Management of Sports Injuries

For most of you who are avid runners or sports personnel, injuries can be frustrating and at times prove devastating for your career. Returning back to the sport too soon after an injury can also prove to be destructive.

This is where Sports Medicine also known as Sports and Exercise Medicine comes to play. It is only very recently that this field of medicine has got so much importance. It refers to the field of medicine concerned with injuries sustained in sports and exercise, including their prevention,

diagnosis, and treatment.

Some of the common Sports Injuries are listed below

Concussion- caused by severe head trauma much like a seizure

Muscle Cramps- a sudden tight, intense pain caused by a muscle locked in spasm.

ACL Sprains- The anterior cruciate ligament (ACL) helps in comfortable knee movement. It can rupture when the foot is planted and the knee twists to change direction.

ACL Tears- This causes major pain and causes the knee to "give out". It can cause the knee to never be the same.

Ankle Sprain- Stretching of ligaments that hold the ankle bones in place.

Shin Splints- Pulling away or inflammation of the tissue that attaches the muscles of your lower leg to the shin bone

Muscle Strains- Cause pain and loss of function

The treatment options include analysis of patient’s mobility, exercise testing, and administering exercises that can improve the range of motion as well as the general health.

Shree Meenakshi Orthopedics & Sports Medicine Clinic, a Sports Medicine Clinic in New Delhi with the expertise of Dr. Raju Easwaran (Sports medicine Doctor New Delhi) focuses on management of sports injuries and also preventing them. The importance of Sports Medicine lies in not only being curative and rehabilitative, but also being preventative, which may actually be the most important one of all.

Visit our website for more information www.drraju.in

Send your queries to our email drrajueswaran@gmail.com

Sports Injuries Live Chat

Sports Injuries Facebook Live Chat

Join us at 2-4 pm on Friday, May 1st to chat with Dr. Raju Easwaran about sports injuries 

Dr Raju Easwaran as part of the MAX Hospital will take care of the Delhi Dare Devils players during their IPL matches. Be online on Facebook to share your questions and doubts with Doctor

For More Details Contact: drrajueswaran@gmail.com

Website: http://drraju.in

 

 

Is Osteoarthritis the Cause of Your Hip Pain !!

Hip Arthritis

Arthritis of the hip is a disease which wears away the cartilage between the femoral head and the acetabulum, the two bones will scrape against each other, raw bone on raw bone. When this happens, the joint becomes pitted, eroded and uneven. The result is pain, stiffness and instability. In some cases, motion of the leg may be greatly restricted.

Osteoarthritis

Osteoarthritis is the most common form of arthritis. It is degenerative and although it most often occurs in patients over the age of 50, it can occur at any age, especially if the joint is in some way damaged.

It is usually confined to the large weight-bearing joints of the lower extremities, including the hips and knees, but may affect the spine and upper extremity joints, too. Patients with osteoarthritis often develop large bones spurs, or osteophytes, around the joint, further limiting motion.

Causes

Osteoarthritis of the hip is a condition commonly referred to as "wear and tear" arthritis. Although the degenerative process may accelerate in persons with a previous hip injury, many cases of osteoarthritis occur when the hip simply wears out. Some experts believe there may exist a genetic predisposition in people who develop osteoarthritis of the hip. Abnormalities of the hip due to previous fractures or childhood disorders may also lead to a degenerative hip. Osteoarthitis of the hip is the most common cause for total hip replacement surgery.

Symptoms


The first and most common symptom of osteoarthritis is pain in the lip or groin area during weight bearing activities such as walking. People with hip pain usually compensate by limping, or reducing the force on the arthritic hip. As a result of the cartilage degeneration, the hip loses its flexibility and strength, and may result in the formation of bone spurs.

Finally, as the condition worsens, the pain may be present all the time, even during non weight-bearing activities.

Treatment

Before considering total hip replacement surgery, your doctor and you may try various non-surgical therapies. An appropriate weight reduction program may be beneficial in decreasing force across the hip joint. However, weight reduction can be difficult for people with hip arthritis since the arthritis pain precludes them from increasing their activity and burning calories. An exercise program may be instituted to improve the strength and flexibility of the hip and the other lower extrremity joints. Lifestyle and activity modification may be undertaken in an attempt to minimize the activities that are associated with hip pain. Finally, various medications such as non-steroidal anti-inflammatory drugs and nutritional supplements to reduce pain and inflammation associated with the disease may be considered.

Assistive devices like a cane or a crutch can help to reduce the force transmitted through the hip joint during walking and thereby may help to decrease hip arthritis pain. If non-surgical treatment is unsuccessful, you and your surgeon may decide that a total hip replacement is the best available treatment option.

For more details about the treatment contact us:
Dr Raju Easwaran
Website: http://drraju.in
Gmail: drrajueswaran@gmail.com

Best Solution for Shoulder Impingement / Rotator Cuff

One of the most common physical complaints is shoulder pain. Your shoulder is made up of several joints combined with tendons and muscles that allow a great range of motion in your arm. Because so many different structures make up the shoulder, it is vulnerable to many different problems. The rotator cuff is a frequent source of pain in the shoulder.

The shoulder impingement or rotator cuff is a common source of pain in the shoulder. Pain can be the result of:

• Tendinitis. The rotator cuff tendons can be irritated or damaged.
• Bursitis. The bursa can become inflamed and swell with more fluid causing pain.
• Impingement. When you raise your arm to shoulder height, the space between the acromion and rotator cuff narrows. The acromion can rub against (or "impinge" on) the tendon and the bursa, causing irritation and pain.

Cause

Rotator cuff pain is common in both young athletes and middle-aged people. Young athletes who use their arms overhead for swimming, baseball, and tennis are particularly vulnerable. Those who do repetitive lifting or overhead activities using the arm, such as paper hanging, construction, or painting are also susceptible.

Pain may also develop as the result of a minor injury. Sometimes, it occurs with no apparent cause.

Symptoms

Rotator cuff pain commonly causes local swelling and tenderness in the front of the shoulder. You may have pain and stiffness when you lift your arm. There may also be pain when the arm is lowered from an elevated position.

Beginning symptoms may be mild. Patients frequently do not seek treatment at an early stage. These symptoms may include:

• Minor pain that is present both with activity and at rest
• Pain radiating from the front of the shoulder to the side of the arm
• Sudden pain with lifting and reaching movements
• Athletes in overhead sports may have pain when throwing or serving a tennis ball

As the problem progresses, the symptoms increase:

• Pain at night
• Loss of strength and motion
• Difficulty doing activities that place the arm behind the back, such as buttoning or zippering

If the pain comes on suddenly, the shoulder may be severely tender. All movement may be limited and painful.

For more details about the treatment contact us:
Dr Raju Easwaran
Website: http://drraju.in/
Gmail: drrajueswaran@gmail.com

Sports Medicine & Injury Care - Gets You Back in The Game

Injuries are common in all kinds of sports. Acute injuries may result suddenly while involving in sports or exercises. Severe pain can be the product of such kinds of injuries and this will make the movement of damaged part difficult. On the other hand chronic injuries can be resulted from the continuous use of particular part of the body. Any body parts can be injured. Management of the sports injuries depends on the severity and location of the injury.

The strong ligaments around the knees may become sprained or torn. Most of the knee injuries are sprain and can be healed quickly. Shin splints can affect runners. Bone fracture and joints discoloration may also occur.

Knee Ligament Injuries:

This kind of severely painful injuries are most common in professional athletes, soccer players, football players and basketball players. This debilitating ligament knee injuries could end career of many players.

The anterior cruciate ligament (ACL), posterior cruciate ligament (PCL), medial collateral ligament (MCL) and lateral collateral ligament (LCL) are the knee ligaments more prone to injuries during sports.

Knee ligaments can be injured by:

- Sudden twisting of knee with the planted foot

- Far extension of knee

- Sudden stopping while running

- Getting hit or blow to the outer side of the knee

Knee Meniscal Injuries:

Tearing of meniscus is an another common knee injury. Forceful rotation or twisting of the knee can be major cause of torn meniscus. Each knees consist of two c-shaped cartilages that act as cushion between shinbone and thighbone. Injuries to the meniscus usually show signs like swelling, severe pain and stiffness in the knees. It can cause persistent knee pain. The players who participate in contact sports like football and hockey are at an increased risk of knee meniscal injuries.

Physical therapies, medications and surgeries are the treatment options.

Knee Cartilage Injuries:

Cartilage is tough and flexible tissue which acts as shock absorbers, found throughout the body. The types of cartilages are elastic cartilage, fibrocartilage and hyaline cartilage.

Knee cartilage injury is a common type of injury mostly results from sports activities. The symptoms are swelling, joint pain and stiffness reduced movement of affected area. All the above types of cartilages can be affected.

Physiotherapy and use of anti-inflammatory drugs are effective in relieving pain and related effects of injuries. Knee replacement or hip replacement surgeries are recommended for chronic conditions.

Patellar Instability:

Patellar instability is the morphologic patellofemoral joint abnormality which can consequently lead to hazardous patellar dislocations. Sudden twisting damages to the knees can result in patellar instability.

Many of the patients with first time patellar instability, will avoid recurrent dislocation through conservative management. Chronic patellar instability, if left treated, can lead to severe arthritis. Aim of the surgery is to treat the knee damage produced by patellar dislocation.

Recurrent Dislocations of the Shoulder:

Shoulders are the part of the body that are most vulnerable to dislocation and other injuries. Shoulder dislocation occurs when the completely displacement of the head of the humerus called the ball out of the the socket (glenoid) takes place. It happens when direct blow to the shoulder occurs or from repeated and forceful throwing in sports.

Repeated dislocation can lead to recurrent dislocation of the shoulder and shoulder instability. Arthroscopic bankart repair, open bankart repair and bony operations are surgical procedures used for treating shoulder trans location. Patients with shoulder instability should have to undergo surgeries to come back to regular life. Non-surgical procedures are suitable for those who are not involving in strenuous activities and sports.

Rotator Cuff Tear:

A rotator cuff tear is a major cause of pain and disability in most of the people especially in adults. A torn rotator cuff in your shoulder will make your shoulder weaker. This can make your daily activities more difficult to perform. Injuries and degeneration are the two major causes of rotator cuff tear.

Surgical and non-surgical procedures are available for the treatment of rotator cuff tear. Non-steroidal anti-inflammatory medication, muscle strengthening exercises and physiotherapy and steroid injection are the common non-surgical treatment options. Surgeries are recommended if you are not getting benefit from non-surgical procedures.

Dr. Raju Easwaran , one of the best sports medicine specialist in New Delhi specializes in providing comprehensive sports medicine services including the diagnosis and treatment of athletic injuries.

Best Shoulder Replacement Surgery New Delhi

Shoulder replacement surgery is one of the most common joint replacement surgery by which the damaged parts are removed and replaced with artificial components, called a prosthesis.There are many types of shoulder replacement surgery some of them are:

* Total Shoulder Replacement

* Stemmed Hemiarthroplasty

* Resurfacing Hemiarthroplasty

* Reverse Total Shoulder Replacement

Patients with shoulder joint disease may have shoulder pain accompanied by functional limitations, Conservative treatments for shoulder joint problems include physiotherapy, drug treatments like pain relief and topical or oral non-steroidal anti-inflammatory drugs corticosteroid injections. Patients not responding to conservative treatments may require surgery, which may be either shoulder arthroplasty using a stemmed humeral head prosthesis, or fusion of the joint.

Common Reasons behind Shoulder Replacement:

Osteoarthritis :

It's a condition that causes “wear and tear” to your joint cartilage and develops after years of constant motion and pressure on the joints.

Inflammatory (Rheumatoid) Arthritis :

It is a chronic joint disease that can attack any or all joints in the body. It can strike at any age and affects more women than men.By inflammatory arthritis the joint may become red and swollen, and pain may radiate into the neck and arm. The bone also may be destroyed.

Rotator Cuff Tear :

It's a combination of shoulder arthritis and a massive irreparable rotator cuff tear. 

Fracture :

Arm can fracture for a variety of reasons. but it's difficult and become more common in persons around the average age of 60 as they become more prone to osteoporosis.

Avascular Necrosis :

Avascular necrosis is a disease in which there is a temporary or permanent loss of blood supply to the bone.

If non-surgical treatment options such as medication, physical therapy or lifestyle changes fail to provide relief, your surgeon may recommend a surgical treatment, including shoulder replacement.

Cost of shoulder replacement surgery in India is low and affordable than western countries, it is an ideal solution for those who are unable to pay the exorbitant costs of the surgery in their own country. 

Dr.Raju Easwaran, one of the best orthopaedic surgeon in New Delhi offers Shoulder Replacement surgery in India at affordable cost.

If you want to know more about our treatment procedure and cost,

visit: www.drraju.in

Gmail:drrajueswaran@gmail.com

Center for Joint Preservation and Replacement New Delhi

Joint preservation concerns with the restoration of the normal function of the joint, may be it knee, hip or the shoulder. The technique is an emerging as a better option for joint replacement procedure. The procedure is reliably employed as a way to prevent or delay the onset of osteoarthritis, the most common form of arthritis. Relatively younger patients are seen to take benefit from this mode of treatment.

Couple of years ago, joint replacement was the procedure that captured the attention. Many patients successfully tried this procedure. Majority of them was middle aged. However, the relatively younger patients experienced some serious problems after this treatment. With the development of joint preservation, the problems of the younger patients were addressed to a considerable extent.

Considering the hip joint preservation, peri-acetabular osteotomy(PAO) has yielded positive results. Osteotomy is the surgical removal of the bone. The removal of surrounding bone portions of hip socket (acetabulum) is called peri-acetabular osteotomy. The method can be used to treat hip dysplasia.

PAO procedure:

A number of angular cuts are made on the pelvis. This separates the hip socket from the pelvis, thus resulting in the free socket rotation in 3 dimensions. The pelvic ring stability is thus preserved. Prior to the surgery, a preoperative planning of PAO is done. The planning aims to make an appropriate pelvis model. With the help of this model, the reorientation of the hip socket is planned.

The advantages of PAO are many. The primary plus point is a much larger weight bearing ability of the hip. Females who undergo this surgery can have normal vaginal deliveries rather going in for the cesarean delivery.

The rehabilitation period is almost 6-8 weeks and is continued until some recovery signs in the osteotomy site are seen. Weight bearing can be increased slightly. Nearly every patient will be able to walk after a period of 3-4 months.

Joint preservation is a new way to restoring normal and pain-free function to the knee, hip, and shoulder joint.. If you are having any joint pain in your hip or your knee, it's important to seek medical attention.

Dr. Raju Easwaran specializes in providing comprehensive sports medicine services including the diagnosis and treatment of athletic injuries. He specialises in techniques to preserve damaged and injured Hip and Knee joints. 

For more details, vist:www.drraju.in